Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ERIC JOSEPH PETERS SR.
Active Sole ProprietorMR. ERIC JOSEPH PETERS SR. is a Substance Abuse Rehabilitation Facility healthcare provider located in NOVATO, California. NPI 1912375254 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · NOVATO, CA
Registration Details
- NPI Number
- 1912375254
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2015 (10.946410482301 yrs)
- Last Updated
- Sep 3, 2015
- License
-
P0809051024 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
629 WILSON AVENOVATO, CA, 949473823Browse CA providers · Browse ZIP 94947
- Phone
- 4154920818
- Fax
- 4154920834
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in NOVATO, CA
| Name | Credential | NPI |
|---|---|---|
| JESSE JONES | RADT-1 R9201214 | 1356715098 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.